Caregiving Stress, Dementia
Conditions
Brief summary
The purpose of this preliminary study is to examine the effects of adult day service use on subjective and physiological measures of stress in 50 Black informal caregivers for individuals with dementia (IWD). The PI of the proposed study has substantial training in primary data collection and complex-survey secondary data analysis, she also has the fundamental knowledge to investigate how sociocultural and behavioral factors can influence psychosocial stress. The proposed study will enroll participants from adult day service (ADS) nationally, to examine the effects of adult day service use on subjective and physiological measures of stress in 50 Black informal caregivers. The proposed study extends the current science on the use of ADS on subjective and physiological stress by 1) examining differential impacts of ADS specifically on subjective measures of stress for Black caregivers, 2) evaluating the impact of ADS use on physiological measures of stress among Black caregivers; and 3) examining the relationship between subjective indicators and physiological processes for Black caregivers.
Interventions
OTHERAdult Day Service use for family member with dementia
Self-collection of salivary biomarkers 4 times daily for 5 days, two of those days the family member with dementia has to use adult day services
Sponsors
National Institute on Aging (NIA)
Johns Hopkins Bloomberg School of Public Health
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years or older (male or female) * Self-identify as Black and/or African American, * Lives with a family member with a physician diagnosis of Alzheimer's disease or related dementia * Primary responsibility for care of the family member who has been diagnosed with Alzheimer's disease or related dementia * Utilize Adult Day Services at least two times a week for family member with Alzheimer's disease or related dementia
Exclusion criteria
* Either caregiver of client is in active treatment for a terminal illness or are in hospice.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver stress as assessed by the Perceived Stress Scale | Baseline | Perceived Stress Scale scores range from 0 to 40 with higher scores indicating higher perceived stress |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Salivary cortisol levels | Over a five day period | Saliva will be collected into sterile collection tubes and stored in participants' freezers until sampling. the test volume will be 25 µL with a sensitivity range of 0.007-3.0 µL/dl. |
| Salivary alpha-amylase | Over a five day period | Saliva will be collected into sterile collection tubes and stored in participants' freezers until sampling. the test volume will be 10 µL with a sensitivity range of 0.4-400 U/mL. |
| Salivary Telomere length | Over a five day period | Saliva will be collected into sterile collection tubes and stored in participants' freezers until sampling. the test volume will be 2ml |
Countries
United States
Outcome results
None listed